Game Changers
Over/Under
Things we do for no reason
Emoji Ddx
Firsts
200

This agency now recommends pharmacologic prophylaxis use among select women found to have a calculated risk of breast cancer higher than 3-5%.

Who are USPSTF?

200
An A1c under this number is considered normal.

What is 5.7%?

200

This ubiquitously used medication has repeatedly shown no benefit in improving constipation among hospitalized patients. Do not use it. 

What is Colace?

200

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Hand Foot and Mouth Disease

200

In 1971, the first ___ ever performed identified a frontal lobe brain tumor.

What is CT scan?

400

This game-changing trial showed that dapaglifozin decreased CV mortality and CHF hospitalizations in patients with and without diabetes.

What is DAPA-HF?

400

CDC recommends 1 dose of recombinant herpes zoster vaccination in adults this age or over.

What is 60?

400

Bring on the breakfast! This low value intervention in hospitalized surgical patients was deemed a TWDFNR in 2020.

What is NPO after midnight?
400

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Reiter's Syndrome
400

This woman and her younger sister Emily were the first and second female physicians in the US, respectively.

Who is Elizabeth Blackwell?

600

The EAST AF trial concludes that rhythm control may be superior to rate control in patients with this SPECIFIC condition.

What is NEW atrial fibrillation?

600

Clinically, jaundice should begin to be visible in most patients once the serum bilirubin rises above this level.

What is 3.0?

600

This test should not be used for diagnosis in acute care as it is in fact approved only for screening. NSAIDs, aspirin, steak, and broccoli can all cause false positives.

What is FOBT? (It's whack to guiac!)

600

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Charcot Marie Tooth

600

Retrospectively identified as the first cases of AIDS, a MMWR published in this year documented the cases of 5 previously healthy men with PJP pneumonia.

What is 1981?

800

Hot off the press! USPSTF now has a grade B recommendation for colon cancer screening in adults of this age group.

What is 45-49?

800

In a stable, non bleeding patient, do not transfuse platelets unless the platelet count drops below this number.

What is 10,000?

800

This lab value has a very poor predictive value. Furthermore, it does not guide treatment and therefore should not routinely be used in diagnosing hepatic encephalopathy.

What is ammonia?

800

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medial epicondylitis (aka golfer's elbow)

800

This disease was first discovered in 1976 near a river in the Democratic Republic of Congo.

What is Ebola?

1000

According to a 2019 JAMA paper, if this condition is unrecognized/untreated, it is associated with higher risk of CV morbidity and mortality in post operative patients.

What is OSA?

1000

A -LR of 0.1 lowers post test probability by this much? 

What is 45%?

1000

Both retrospective and RCT data suggests that contact precautions provide no benefit in preventing transmission of these two infections.

What are MRSA and VRE?

1000

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Red Person Syndrome

1000

This was the first condition attributed to an abnormal chromosome number.

What is Klinefelter's syndrome?